Patient Survey

At Eye Surgical Associates, our team of doctors and staff aim to provide you with the highest quality of care in the most professional and comfortable environment possible.

Please complete our Patient Survey below to tell us about your experience at our facility:







    Ease of scheduling an appointment
    ExcellentGoodFairPoorN/A

    Returning your calls in a timely manner
    ExcellentGoodFairPoorN/A

    Length of waiting time to see your doctor
    ExcellentGoodFairPoorN/A

    How well your doctor explained things to you
    ExcellentGoodFairPoorN/A

    How well you were treated by our staff
    ExcellentGoodFairPoorN/A

    Knowledge and professionalism of your doctor
    ExcellentGoodFairPoorN/A

    Knowledge and professionalism of our staff
    ExcellentGoodFairPoorN/A

    Appearance and atmosphere of our facility
    ExcellentGoodFairPoorN/A

    How may we contact you?
    PhoneEmailMailPlease don't contact me